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Pressure injury prevalence and characteristics in patients with COVID-19 admitted to acute inpatient rehabilitation unit

OBJECTIVE: To investigate the incidence and severity of pressure injuries among COVID-19 patients who required acute hospitalization and subsequent acute inpatient rehabilitation (AIR). DESIGN: Data was collected retrospectively from medical charts of COVID-19 patients who were admitted to AIR durin...

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Detalles Bibliográficos
Autores principales: Lu, Weiying, Bloom, Ona, Rathgeber, Melissa, Maltser, Susan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106692/
https://www.ncbi.nlm.nih.gov/pubmed/37077291
http://dx.doi.org/10.3389/fresc.2023.1058982
Descripción
Sumario:OBJECTIVE: To investigate the incidence and severity of pressure injuries among COVID-19 patients who required acute hospitalization and subsequent acute inpatient rehabilitation (AIR). DESIGN: Data was collected retrospectively from medical charts of COVID-19 patients who were admitted to AIR during April 2020–April 2021. SETTING: Acute Inpatient Rehabilitation at a single hospital in the greater New York metropolitan area. PARTICIPANTS: Subjects included COVID-19 patients (N = 120) who required acute hospitalization and subsequent acute inpatient rehabilitation, of whom 39 (32.5%) had pressure injuries. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE(S): The incidence, location, and severity of pressure injuries in COVID-19 patients, as well as demographic and clinical characteristics of the acute hospitalization. RESULTS: Among patients who developed pressure injuries, more patients received mechanical ventilation (59% vs. 33%, P < 0.05) and tracheostomy (67% vs. 17%, P < 0.00001). The lengths of stay were longer in both the intensive care unit (ICU) (34 vs. 15 days, P < 0.005), and in acute inpatient rehabilitation (22 vs. 17 days P < 0.05). CONCLUSION: Pressure injuries were more common in COVID-19 patients who had longer lengths of stay, received mechanical ventilation or tracheostomy, during acute hospitalization. This supports the use of protocols to prioritize pressure offloading in this patient population.